Case report: revision surgery for a fractured femoral stem using an ESOP prosthesis – analysis of the diagnostic work-up, treatment strategy, and long-term outcome
Abstract
Femoral stem fracture following total hip arthroplasty is a rare but serious complication that usually requires removal of both implant fragments and implantation of a longer revision stem. However, this procedure may be associated with substantial bone loss and an increased risk of intraoperative and postoperative complications. A 58-year-old man underwent cementless total hip arthroplasty with a Zweymüller-type stem in 2008. Five years later, the stem fractured. During revision surgery, the proximal fragment was removed, whereas the well-fixed distal fragment could not be safely extracted. It was therefore retained, and only the proximal component of a modular ESOP (anatomical modular cementless femoral stem) short stem was implanted. The postoperative course was uneventful. At 13-year follow-up, the patient remains pain-free, with full hip function, and no radiographic evidence of implant loosening. In carefully selected cases, this technique may represent a valuable alternative to extensive revision surgery.
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BibTeX
@article{dutka2026case,
title = {{Case report: revision surgery for a fractured femoral stem using an ESOP prosthesis – analysis of the diagnostic work-up, treatment strategy, and long-term outcome}},
author = {Łukasz Dutka and Julian Dutka and Adrian Szczecina and Adam Solarz and Dominik Kostarczyk and Mateusz Bukowczan},
journal = {Journal of Surgical Case Reports},
year = {2026},
month = oct,
doi = {10.1093/jscr/rjag958},
url = {https://doi.org/10.1093/jscr/rjag958},
note = {CC BY 4.0},
}
RIS
TY - JOUR
TI - Case report: revision surgery for a fractured femoral stem using an ESOP prosthesis – analysis of the diagnostic work-up, treatment strategy, and long-term outcome
AU - Łukasz Dutka
AU - Julian Dutka
AU - Adrian Szczecina
AU - Adam Solarz
AU - Dominik Kostarczyk
AU - Mateusz Bukowczan
PY - 2026
DA - 2026/10/22
JO - Journal of Surgical Case Reports
DO - 10.1093/jscr/rjag958
UR - https://doi.org/10.1093/jscr/rjag958
AB - Femoral stem fracture following total hip arthroplasty is a rare but serious complication that usually requires removal of both implant fragments and implantation of a longer revision stem. However, this procedure may be associated with substantial bone loss and an increased risk of intraoperative and postoperative complications. A 58-year-old man underwent cementless total hip arthroplasty with a Zweymüller-type stem in 2008. Five years later, the stem fractured. During revision surgery, the proximal fragment was removed, whereas the well-fixed distal fragment could not be safely extracted. It was therefore retained, and only the proximal component of a modular ESOP (anatomical modular cementless femoral stem) short stem was implanted. The postoperative course was uneventful. At 13-year follow-up, the patient remains pain-free, with full hip function, and no radiographic evidence of implant loosening. In carefully selected cases, this technique may represent a valuable alternative to extensive revision surgery.
SN - 2042-8812
ER -